Evidence map›Paper›PMID 40692867›Full record

ArticleFrontiers in oncology2025

Early postoperative patient-reported outcomes in thoracoscopic segmentectomy: a comparative study of non-intubated anesthesia versus intubated general anesthesia.

He Guan, Jinchao Bi, Wantong Zheng, Yahao Zhang, Zhijun Han, Li Wei, Jiwei Li

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Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

He GuanDepartment of Thoracic Surgery, Zhengzhou University People's Hospital, Henan Provincial People's Clinical Medical School of Zhengzhou University, Zhengzhou, Henan, China.
Jinchao BiDepartment of Thoracic Surgery, Zhengzhou University People's Hospital, Henan Provincial People's Clinical Medical School of Zhengzhou University, Zhengzhou, Henan, China.
Wantong ZhengDepartment of Thoracic Surgery, Zhengzhou University People's Hospital, Henan Provincial People's Clinical Medical School of Zhengzhou University, Zhengzhou, Henan, China.
Yahao ZhangDepartment of Thoracic Surgery, Zhengzhou University People's Hospital, Henan Provincial People's Clinical Medical School of Zhengzhou University, Zhengzhou, Henan, China.
Zhijun HanDepartment of Thoracic Surgery, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Li Wei *Department of Thoracic Surgery, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Jiwei Li *Department of Thoracic Surgery, Zhengzhou University People's Hospital, Henan Provincial People's Clinical Medical School of Zhengzhou University, Zhengzhou, Henan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Segmentectomy under non-intubated anesthesia (NIA) has demonstrated comparable conventional clinical outcomes to segmentectomy performed under intubated general anesthesia (IGA). However, differences in early patient-reported outcomes (PROs) between the two anesthetic approaches remain unclear. This study aimed to evaluate symptom burden and functional status from the patient's perspective under different anesthesia modalities. Methods: Patients who underwent segmentectomy via either IGA or NIA were included. Perioperative symptom severity and functional status were assessed using the PSA-lung scale. PROs data were collected at various perioperative time points, and comparisons between groups were analyzed using a linear mixed-effects model. Results: Among the 380 enrolled patients, 160 underwent segmentectomy under NIA, and 220 under IGA. After propensity score matching (PSM), baseline characteristics were comparable between groups. On postoperative day 7, patients in the NIA group reported significantly milder symptoms of pain (P<0.001), cough (P<0.001), dyspnea (P=0.011), and drowsiness (P<0.001) compared to those in the IGA group. Additionally, the NIA group experienced less functional interference in walking (P<0.001) and general function (P<0.001). Within one month postoperatively, patients in the IGA group reported more severe cough (P<0.001) and anxiety (P<0.001) than those in the NIA group. There were no significant differences in short-term clinical outcomes between the two groups, although the NIA group had a longer operative time (P<0.001) but a shorter postoperative hospital stay (P<0.001). Discussion: PROs are essential indicators of postoperative recovery after segmentectomy. Compared to intubated anesthesia, non-intubated anesthesia is associated with fewer severe early symptoms, lower functional burden, and shorter hospitalization following segmentectomy.

Indexed as

intubated general anesthesianon-intubated anesthesiapatient-reported outcomessegmentectomythoracoscopic surgery

Identifiers

PMID40692867
PMCPMC12277372

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